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Published on: December 8, 2014
Enterococcus faecalis Infective Endocarditis Associated With Colorectal Cancer
Abdullah Alziyadi1, Mohmmad Al Adwani2, Hamma Abdulaziz2
1General Surgery, Al Hada Armed Forces Hospital, Taif, SAU.
Abstract:
Enterococcus faecalis (E. faecalis) is considered the third most common source of infective endocarditis. Some of the published reports linked its origin to colorectal cancer. We report a 70-year-old male patient diagnosed with E. faecalis infective endocarditis complicated by myocardial infarction. The patient also experienced symptoms of melena and anemia, prompting a colonoscopy. A colon mass was found and a biopsy revealed adenocarcinoma. The patient underwent a left hemicolectomy. In addition to that, he was treated for his cardiac issues. Many studies suggest screening for colonoscopy in patients with E. faecalis infective endocarditis to investigate its origin and potential association with colorectal cancer.
Insights
Enterococcus faecalis infective endocarditis can be linked to colorectal cancer. This case highlights the importance of investigating colon cancer in patients with E. faecalis endocarditis.
Area of Science:
- Cardiology
- Gastroenterology
- Infectious Diseases
Background:
- Enterococcus faecalis is a significant cause of infective endocarditis.
- Previous studies suggest a potential link between E. faecalis endocarditis and colorectal cancer.
Observation:
- A 70-year-old male presented with E. faecalis infective endocarditis and myocardial infarction.
- The patient exhibited symptoms of melena and anemia, leading to a colonoscopy.
- A colon mass was identified, diagnosed as adenocarcinoma via biopsy.
Findings:
- The patient underwent surgical resection (left hemicolectomy) and cardiac treatment.
- This case supports the association between E. faecalis infective endocarditis and underlying colorectal malignancy.
Implications:
- Routine colonoscopy screening is recommended for patients diagnosed with E. faecalis infective endocarditis.
- Early detection of colorectal cancer in these patients can improve outcomes.
- Further research is warranted to elucidate the mechanisms connecting E. faecalis endocarditis and colorectal cancer.
Related Concept Videos
Endocarditis I: Introduction
Endocarditis II: Clinical Features of Infective Endocarditis
Endocarditis III: Medical Management
Endocarditis IV: Nursing Management
Bacterial Gastroenteritis
Diverticular Disease of the Colon

